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Related Concept Videos

Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Methods of Documentation IV: Focus Charting01:26

Methods of Documentation IV: Focus Charting

Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
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Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
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Telephone Orders
Data Reporting and Recording01:24

Data Reporting and Recording

Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...

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Related Experiment Video

Updated: May 9, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
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Published on: February 19, 2021

Improving shift report focus and consistency with the situation, background, assessment, recommendation protocol.

Paul Cornell1, Mary Townsend Gervis, Lauren Yates

  • 1Practice Transformation, Dallas, Texas, USA. ptcornell@gmail.com

The Journal of Nursing Administration
|July 30, 2013
PubMed
Summary

The Situation, Background, Assessment, Recommendation (SBAR) protocol enhanced patient-centric shift reports by increasing focused discussion. While not reducing report time, SBAR improved communication quality in medical-surgical units.

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Area of Science:

  • Nursing Practice
  • Healthcare Communication
  • Patient Safety

Background:

  • Limited data exists on the efficacy of the Situation, Background, Assessment, Recommendation (SBAR) protocol for shift reports.
  • The SBAR protocol is increasingly recommended for improving clinical communication.

Purpose of the Study:

  • To evaluate the impact of the SBAR protocol on the quality and efficiency of shift reports.
  • To assess changes in nurse communication patterns during shift handoffs.

Main Methods:

  • Implementation of the SBAR protocol in four medical-surgical units.
  • Observation audits to record nurse tasks, tools, and locations during shift reports.
  • Analysis of communication dynamics (dialogue vs. writing) and time allocation.

Main Results:

  • Shift report duration did not decrease with SBAR implementation.
  • Nurses dedicated significantly more time to report-specific tasks.
  • SBAR use resulted in increased dialogue and decreased writing during reports.

Conclusions:

  • The SBAR protocol fosters more focused, patient-centric shift reports.
  • SBAR provides a structured approach for concise and prioritized information exchange.
  • Enhanced communication quality, with less transcription and more discussion, was observed.